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1922430743
JUSTIN M CHACKO
BROOKLYN, NY
NPI
1922430743
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NY 018155)
Enumeration Date
2013-08-02
Last Update Date
2018-03-17
Business Address
JUSTIN M CHACKO
800 POLY PL
BROOKLYN, NY 11209-7104
Phone number: 718-836-6600
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Mailing Address
JUSTIN M CHACKO
59 TULIP LN
WILLISTON PARK, NY 11596-1014
Phone number: 516-343-4349
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